Mental health PHP for Wellington — inpatient density, home at night.

For Wellington residents 28 miles and 38 minutes east of the coast, RECO Health's mental health PHP delivers thirty-plus clinical hours weekly with in-house psychiatry, TMS, and ketamine — no referring out for interventional treatment mid-program. Most clients from Olympia, Versailles, or Palm Beach Polo pair the program with a bed in RECO's sober-living network rather than commuting daily. The primary therapist follows the client from PHP into IOP so the clinical relationship carries the step-down rather than restarting from zero.

Wellington sits about 28 miles inland from RECO Health’s Delray Beach campus — roughly 38 minutes by car from Olympia, Versailles, Aero Club, Palm Beach Polo, or Wellington View out to the coast. For many equestrian-country residents, that distance is a clinical feature rather than an obstacle: partial hospitalization at Delray density often pairs with a bed in RECO’s sober-living network at night rather than a two-hour round-trip commute five days a week. The mental health PHP described below sits between inpatient hospitalization and standard IOP — thirty-plus clinical hours weekly, in-house psychiatry, and same-program access to TMS and ketamine when indicated.

Who is placed in PHP versus IOP versus inpatient

PHP is the correct level of care once acute inpatient risk has passed but a few outpatient hours weekly will not hold the clinical picture. Typical presentations include active suicidal ideation without imminent intent or plan, severe functional impairment interfering with work or self-care, a medication regimen that is unstable and needs frequent adjustment, or a step-down from an inpatient psychiatric hospitalization where the client is safe to sleep at home but not ready for weekly outpatient. RECO uses the LOCUS and CALOCUS-CASII placement instruments to structure the decision rather than defaulting to a single level of care based on payer preference.

Clients who do not meet PHP criteria step into IOP — nine to twelve clinical hours weekly, three to five days, with the same psychiatric access and therapy relationships at reduced frequency. Clients whose acuity or suicidal intent requires a locked setting are referred to an inpatient partner and readmitted to PHP on discharge. The placement conversation happens on the first day and is revisited weekly; PHP is not a fixed dose.

What thirty hours a week actually covers

The PHP clinical week runs Monday through Friday, six clinical hours per day, and combines three tracks in parallel. Psychiatric medication management is weekly at minimum, more frequently during titration or when a client is switching between an SSRI such as sertraline, a second-generation antipsychotic like aripiprazole or quetiapine, or a mood stabilizer such as lithium or lamotrigine. Individual therapy is weekly with a primary therapist who owns the treatment plan for the length of stay.

Group programming fills the rest of the day across evidence-based tracks: CBT for depression, DBT skills groups covering distress tolerance and emotion regulation, trauma-processing groups drawing on EMDR and CPT for clients out of the acute phase, dual-diagnosis programming grounded in the ASAM Criteria dimensions, ACT and MI for ambivalence, and disorder-specific psychoeducation for bipolar disorder, PTSD, and OCD. Experiential modalities — yoga, art therapy, somatic work — supplement the cognitive-behavioral core. Every group has a written curriculum, a measurable clinical goal, and a facilitator credentialed for the modality.

Integrated psychiatry and interventional access

PHP clients see a psychiatrist or psychiatric nurse practitioner weekly at minimum, with additional contact when a medication change requires closer monitoring — a lithium level draw, an ECG on a new antipsychotic, or a PHQ-9 trend that is not moving in the expected direction. Measurement-based care is standard: PHQ-9 for depression, GAD-7 for anxiety, PCL-5 for PTSD, YBOCS for OCD, and ASRS for adult ADHD, scored at intake and re-scored on a defined schedule rather than at the therapist’s discretion.

Because TMS and ketamine services are in-house rather than referred out, PHP clients who meet criteria for interventional treatment do not pause or leave the program to access it. A treatment-resistant depression course of rTMS is typically 36 sessions over six weeks at 120% of motor threshold, 3,000 pulses per session over the left DLPFC using the standard 10 Hz FDA protocol; the psychiatry team stages the treatment around the group schedule and reviews response weekly. Intranasal esketamine and racemic ketamine are available under the same roof for the same indication, with the same measurement-based framework driving continuation or discontinuation.

Step-down into IOP with the same therapist

Length of stay in PHP is clinical, not administrative. Most clients step down to IOP after three to six weeks — earlier when the presenting problem was primarily a medication instability that has resolved, longer when the work is trauma processing or a complex dual-diagnosis picture. The step-down decision is driven by movement on the assessment scales, stability on the current medication regimen, and the primary therapist’s clinical judgment about whether the client can hold gains at a lower level of care.

The primary therapist follows the client from PHP into IOP rather than handing off. The same clinical relationship continues at reduced frequency — one to two individual sessions weekly instead of one plus daily group contact. That continuity is a load-bearing feature of the outcomes, not an administrative preference; the therapeutic alliance built during the acute weeks is precisely what carries a client through the transition when relapse or symptom recurrence is statistically most likely.

What to expect on your first day

Admissions begins with a biopsychosocial assessment and a psychiatric evaluation on day one, typically completed before lunch. The psychiatric assessment includes a full medication reconciliation, a suicide risk assessment using the Columbia Protocol, and the LOCUS or CALOCUS-CASII scoring that confirms PHP as the correct placement. Clients complete PHQ-9, GAD-7, and additional scales appropriate to the presenting picture — YBOCS for suspected OCD, PCL-5 when trauma is on the differential, ASRS when adult ADHD is under consideration.

A treatment plan is drafted on day one and finalized within seventy-two hours with the primary therapist and psychiatrist as co-signers. Clients begin group programming that same afternoon rather than waiting for the plan to be signed. For clients arriving from Wellington who plan to use sober-living housing, the admissions coordinator confirms the bed and arranges transport between the residence and campus before the client leaves at the end of day one.

Insurance and getting to Delray from Wellington

RECO Health is in-network with Florida Blue, Aetna, Cigna, UnitedHealthcare, Humana, and BCBS plans; a verification of benefits with a written estimate of the client’s financial responsibility is completed before admission, not after. Out-of-network benefits are also verified when the plan supports partial hospitalization at OON rates, and single-case agreements are pursued when clinically warranted. The admissions team is direct about what is and is not covered.

Wellington to Delray Beach runs about 28 miles and 38 minutes via Southern Boulevard and I-95, longer during winter season and morning peak hours. Most Wellington PHP clients — particularly those in Olympia, Versailles, or Palm Beach Polo — pair the program with a stay in RECO’s sober-living network rather than commuting daily; the housing sits within a short drive of the clinical campus and is included in the level-of-care conversation on day one.

Serving residents of: Olympia, Versailles, Aero Club, Palm Beach Polo, Wellington View.